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FROM �E�ergreen State Heat & Ri� FAX N0. �4252596660 Sep. 16 2011 11:06AM P1 <br />y� �9 Q-%�4 CC;�.�.1� l�C�l 4��� C1LUC� i� �:.+c..�` c;l �- <br />U <br />PERMIT APPLICATION <br />BUILDINGfMECH/�►NICALIPLUMBING/SIGN/SPRINKLER/DEN�OLITION <br />CITY nF EVERETT PERMIT SERVICES �I �-16-- I � <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — F�X 425-257-8857 — www.everettwa.org <br />APPLICATIONS nRE ACCEPTED FROM 8 AM TO a PM <br />fOf n6w canalructian: Shorl PIeUSubdivision .___._... <br />BUILDING PERMIT APP4ICATION <br />Use of 3uilding <br />No._ (ettach <br />PRICE GF WORK <br />of long lagal Cescriptlon) <br />7�'� <br />SOURCE: <br />Praposed Use of ByAding . _. � �as�, emcmc._ __ umer_ <br />f3uilding lypa: �Singla Fam/'I�v' DUplex __Townhouse _ Multi-FBrtlily _ Commercial <br />Type ol proJecc _ New � Addition _ Remotlel _ Repalr _ T.L _ Sign �Sprinkler _Demdition_Change ot Use <br />DOSCrIptlOn oi Wofk (addRlonnl spece provlded on fhe bnckJ : <br />,�,�,� \� �-� <br />!iave yau xfarteJ working wilhou[ a perr0it7 _YES �,NO <br />PERMIT APPLICATION <br />o(ProJect: _NxW_Addn _Allerellan__Repal� <br />PLUMBING PERMIT APPLI <br />of PraJact: _Naw_Addn _Alteratlon_Repalr <br />Show Numbar(p) o/llrmres <br />Medicai Gas <br />Olher: <br />I hereby codiiy that I heve msd end exumined ihia epp'�icallon end kno�v Ihe samo lo b9 trua nnd w« eCL All Drovisians o( leWs and ortiinencr.a 9ovominA <br />Ihis typo af Work y�ll bo r.omplied wi(F Whether speci0etl herein or nol. T�e gren�inp of a cermlt does nol prosume to glve authorty to violnte or cancel <br />Iho pmvisian al en� olber ctele or local Ixvi reguleling r.on5lNQ100 0� Ih0 VB�fOtrooncn ol con5iructlon, Th�l I�ro eulhoriZBQ by Ihe Ovmer of th15 p�OpE�ly <br />lo dor Inn v,nrk (orwhich applir.alion ix mndn nn�� I r.ompN�"+��h Ihe State Conlraclors Lew 1827 RCW antl 2A8.200 WAC <br />�.��,\1% `l,� —�i'� <br />OwnadAuUwrlmdApent3lUi uro Dete (Rovisetl?/2oi1) <br />